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Case of Cardiac Arrest Treated with Extra-Corporeal Life Support after MDMA Intoxication

Pierre Voizeux¹, Romain Lewandowski¹, Theresa Daily¹

¹Department of Anaesthesia, Dijon University Hospital and University of Dijon, Dijon, France.

Case Reports in Critical Care

|April 16, 2019

Abstract

Objective:

To describe the case of a patient who developed a serotonin syndrome due to a 3,4-methylenedioxymethamphetamine ingestion with electrical storm and refractory cardiac arrest.

Design:

Case report.

Study Selection:

ICU of a university hospital.

Patient:

A 22-year-old man transferred to the emergency room with hyperthermia, tremors, and mydriasis presented a cardiac arrest due to ventricular fibrillation.

Interventions:

We implemented extra-corporeal life support combined with vasoactive drugs. Later, he also benefited from renal replacement therapy and mechanical ventilation.

Measurements And Main Results:

We were able to rapidly regulate our patient's temperature and we weaned all hemodynamic support in the first week of hospitalisation.

Conclusion:

Extracorporeal life support has several advantages as part of the management of hemodynamic instability induced by serotonin syndrome.

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